Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $103.68 / $311.92	Facility		$30.08	$103.68	$311.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.83 / $31.96	Professional		$30.08	$30.83	$31.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $65.84 / $141.38	Facility		$31.21	$65.84	$141.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $31.21 / $31.21	Professional		$31.21	$31.21	$31.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $35.32 / $357.30	Facility		$35.32	$35.32	$357.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Facility		$31.96	$31.96	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $143.07 / $143.07	Facility		$85.00	$143.07	$143.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $251.75 / $251.75	Professional		$251.75	$251.75	$251.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $37.60 / $67.09	Facility		$30.83	$37.60	$67.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $26.29 / $26.29	Professional		$26.29	$26.29	$26.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $72.65 / $76.81	Professional		$48.70	$72.65	$76.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $36.35 / $50.76	Facility		$31.21	$36.35	$50.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $37.60	Professional		$37.60	$37.60	$37.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $18.47 / $28.76	Professional		$13.68	$18.47	$28.76